In recent years, the number of primary and secondary school students seeking treatment for scoliosis has increased, and most of them were diagnosed with adolescent scoliosis after being examined by their parents and children themselves, who found that their shoulders were high and low, and their backs or ribs were bulging on one side of the body. Many children to the hospital scoliosis symptoms have been quite serious, the spine has become a large “S” shape, the curvature of 40 degrees or more, and even affect the cardiopulmonary function, and the age of the relatively older, missed the best opportunity for treatment. First, what are the three major reasons for scoliosis being neglected? 1, lack of awareness In North America, after the birth of the child, there will be a spine specialist to screen the child for scoliosis, and throughout the growth phase of tracking and observation, found to have scoliosis and to a certain extent will be handed over to the professional rehabilitation doctor. The government has medical institutions specializing in scoliosis correction to provide rehabilitation treatment and follow-up for children in need of correction until they reach maturity. China’s understanding of the harm of scoliosis is relatively insufficient, lagging behind in research, lack of publicity, coupled with China’s large population, it is difficult to carry out a comprehensive scientific census, resulting in little knowledge of this disease. 2, the onset of hidden scoliosis most of the onset of hidden, most of the patients do not hurt, do not itch, occasional back pain, easy to be ignored by parents. Even if the patient goes to the doctor, it is easy to be misdiagnosed if the specialist does not check carefully. 3.Discovery of untimely spinal deformity is mostly not found by the children themselves. Due to the age of the relationship, parents can directly observe the child over 10 years old bare shoulders and back of the opportunity is rare, and growth and development stage is precisely the fastest progress of scoliosis, until the deformity is obvious, the symptoms are often already very serious. Second, what is the impact of scoliosis on children? 1, affect the appearance of the child scoliosis will appear neck distortion, shoulders unequal height, back uneven, girls may also appear breast size asymmetry, affecting the aesthetic. 2, thoracic deformation Scoliosis is often not just a problem of spinal curvature, the thorax will also be deformed, extrusion of the thorax will cause a reduction in lung function, lung capacity, seriously affecting the development of important organs. Patients often suffer from oxygen deprivation due to insufficient oxygen saturation, and their overall physical fitness decreases. The obvious change is shortness of breath after participating in strenuous activities. In addition to this, scoliosis disrupts the regulation of internal organs by spinal nerves, which may result in indigestion, abdominal pain, menstrual cramps, and stunted growth. Severe scoliosis will compress the nerves, numbness of the legs, affect the function of urination and defecation, and even cause paraplegia. 3, affecting mental health Scoliosis may affect the child’s mental health. The special appearance of the reason, will be ridiculed by children, leaving a shadow in the heart of the affected children. Especially girls think that their appearance is very embarrassing and are reluctant to socialize with others, which not only affects their studies, but also may affect their mental health. How to detect scoliosis at an early stage? Parents are often concerned about whether their child is hunchbacked or nearsighted, while the child’s shoulder imbalance, which may be scoliosis, is easily overlooked. Most cases of scoliosis occur during the peak growth period of adolescents, and the growth of the spine exacerbates the development of the deformity. Therefore, timely and early detection is crucial to the prognosis. Parents should be alerted if their child has any of the following: one shoulder is noticeably protruding or enlarged compared to the other, usually the right shoulder is higher. The neckline is uneven, with one shoulder higher than the other. Uneven development of both breasts in girls, with the left breast tending to be larger. Whether standing or bending, the low back contour of both sides of the spine from behind is asymmetrical, with one side high and the other low, and the standing or sitting position preferably sideways to one side. Children over 10 years of age should be observed once every 3 months.